Individual
SARAH EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4735
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267681
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD25663
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083063689
—
ME
Enumeration date
06/06/2016
Last updated
06/01/2022
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